Organization Active NPI

Toe-Tal Foot Care, PLLC

Doing business as Toe-Tal Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Hot Springs, AR
National Provider Identifier
1649911637
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TOE-TAL FOOT CARE, PLLC
Doing business as
Toe-Tal Foot Care
Practice address
101A Doris CT
Hot Springs, AR 71913-4044
Phone
(501) 500-0155
Fax
(501) 246-8647
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy Wayne Gauldin, DPMNPI 1346651494
Title
Owner
Phone
(501) 500-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

101A Doris CT
Hot Springs, AR 71913-4044

Mailing address

101A Doris CT
Hot Springs, AR 71913-4044
Phone (501) 500-0155

Other identifiers 2

IdentifierTypeStateIssuer
225822717MedicaidAR
285389748MedicaidAR

Other names 1

  • TOE-TAL FOOT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220421002475 AR Part B Supplier - Clinic/Group Practice 0840687885 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR
O20220930001117 AR DME Supplier - Physician - Podiatry 0840687885 Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

101A Doris Ct
Hot Springs National Park, AR 71913
Phone (501) 500-0155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1649911637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101A DORIS CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134044",
            "telephone_number": "501-500-0155",
            "fax_number": "501-246-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101A DORIS CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134044",
            "telephone_number": "501-500-0155",
            "fax_number": "501-246-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOE-TAL FOOT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "GAULDIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-500-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225822717",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285389748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOE-TAL FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.